Adult Application (Over 16s)
You need to download the application form, reference letter and *health referral (psychiatric service dogs only) form, print them, fill them in, scan and send back.
Please have all filled in and signed forms sent to info@medicalalertdogs.co.za OR honeysgardenmad@gmail.com.
Please do not hesitate to phone Honey’s Garden on 0722500336 for any queries about these forms.
This application will contain information about yourself, and your household/the environment that the service dog will be expected to live and work in.
Please put your full name in the email subject bar along with the word APPLICATION and the type of service dog you are applying for, as per example below.
JANE DOE APPLICATION FOR DIABETIC ALERT DOG​​​​​​​
This letter will need to be filled in by a friend or person who knows yourself and your family, and can vouch for the fact that you will indeed benefit from a service dog and that you and your family is capable of caring for one. This person may be a colleague, employer, teacher, family friend, carer or social worker.
The letter from a referee needs to be submitted directly to Honey’s Garden by the person who filled in the form. The subject bar for this letter should be as follows:
JANE DOE REFERENCE LETTER FROM JOE BLOGS
This form (for psychiatric applicants only) must be filled in and submitted by a professional physician, psychologist or psychiatrist who knows you and works with you on a fairly regular basis. This professional should be able to vouch for the fact that you will indeed benefit from a PSYCHIATRIC service dog and release medical and social information about you. You will need to fill in the first page of this form in order to give formal consent.
The letter from the health care professional can be submitted directly to Honey’s Garden by the person who filled in the form, or a formal representative from the office of work. Alternatively you may want to send it yourself in a separate email from the application form, but in this case the physician must have saved the document as a PDF or handwritten to avoid tampering. The subject bar for this form should be as follows:
JANE DOE HEALTH REFERRAL FROM DR JOE BLOGS
Honeys Garden is a nonprofit, 2016/387235/08 organization whose mission is to place quality service dogs with people within South Africa who are under privileged, fighting with disabilities or diseases, and veterans who have lost use of limbs or hearing. We also help with animal rescue, and educate the public regarding use of service dogs in public places.

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